Sağlık Çalışanlarının İkincil Travmatik Stres Düzeyinin Belirlenmesi

Öz

Amaç: Sağlık çalışanlarının iş yüklerinin fazla, çalışan sayısının yetersiz olması; çalışma koşullarının ağır olması, vardiyalı çalışma sistemleri ve uzun vardiya saatleri gibi nedenlerden dolayı çalışan bireylerin ruhsal travmaya uğrama riski yüksektir. Çalışma, sağlık çalışanlarının ikincil travmatik stres düzeylerinin belirlenmesi amacıyla yapılmıştır.

Yöntem: Kesitsel ve tanımlayıcı nitelikteki bu çalışma 212 sağlık çalışanı ile yapılmıştır. Veri toplama aracı olarak “Sosyodemografik Özellikler Formu” ve “İkincil Travmatik Stres Ölçeği” kullanılmıştır.

Bulgular: Sağlık çalışanlarının ikincil travmatik stres düzeyleri, toplam puan ve tüm alt boyutlarda dâhili birimlerde çalışan personelinin puan ortalamasının cerrahi birimlerde çalışan sağlık personeline göre daha yüksek olduğu bulunmuştur.

Sonuç: Sonuç olarak çalışmamızda sağlık çalışanların ikincil travmatik stres düzeyleri ortalamanın üzerinde bulunmuştur. Çalıştığı birim ne olursa olsun sağlık personelinin ikincil travmatik stres düzeyinin yüksek olduğu ve ikincil travmatik strese bağlı semptomların ortaya çıkmaması için çalışanların yaşadığı stresi azaltacak, dolaylı travma reaksiyonlarını en aza indirgeyecek girişimlere ihtiyaç duyulmaktadır. Ayrıca bu girişimleri belirleyecek yeni araştırmalar yapılması önerilmektedir.

Anahtar Kelimeler

• Sağlık çalışanı
• ikincil travmatik stres
• hastane

Determination of Secondary Traumatic Stress Levels of Healthcare Workers

Öz

Aim: Due to reasons such as excessive workloads of health workers and the insufficient number of employees, severe working conditions, shift work systems and long shift hours, working people have a high risk of suffering mental trauma. The study was conducted to determine the secondary traumatic stress levels of health workers.

Method: This cross-sectional and descriptive study was conducted with 212 healthcare professionals. The “Sociodemographic Characteristics Form” and “Secondary Traumatic Stress Scale” were used as data collection tools.

Results: It was found that the secondary traumatic stress levels of health workers, the total score and the average score of the personnel working in internal units in all sub-dimensions were higher than the average of the medical personnel working in surgical units.

Conclusion: As a result, secondary traumatic stress levels of healthcare workers were found to be higher than average in our study. The unit of work, regardless of the level of health personnel is high secondary traumatic stress, and secondary traumatic stress symptoms, to prevent employees reduce stress, indirect initiatives to minimize trauma reactions are needed. It is also proposed to conduct new research that will determine these initiatives.

Anahtar Kelimeler

• Healthcare workers
• secondary traumatic stress
• hospital

Kaynakça

1. Ardahan M, Alp FY. Patient safety and patient safety role in ensuring the health of workers and managers. Acıbadem University Journal of Health Sciences. 2015;6(2):85-88.
2. Kılıç C, İnci F. Traumatic stress in emergency medical technicians: protective role of age and education. Turkish Journal of Psychiatry. 2015;26(4):236-241.
3. Pak MD, Özcan E, Çoban Aİ. Secondary traumatic stress level and psychological resilience of emergency service staff. Journal of International Social Research. 2017;10(52): 629-644.
4. Kahil A. An Assessment of Secondary Traumatic Stress in Those Who Engage in a Helping Behavior With People Who Have Traumatic Life Events [master’s thesis]. İstanbul, Türkiye: Ufuk University Institute of Social Sciences; 2016.
5. Kahil A, Palabıyıkoğlu NR. Secondary traumatıc stress. Current Approaches in Psychiatry. 2018;10(1):59-70.
6. Zara A, İçöz FJ. Secondary traumatic stress in mental health workers in Turkey. Clinical Psychiatry. 2015;18:15-23.
7. Morrison LE, Joy JP. Secondary traumatic stress in the emergency department. Journal of Advanced Nursing. 2016;72(11):2894-2906.
8. Gürdil G. Üstlenilmiş Travma ve İkincil Travmatik Stresin Travmatik Yaşantılara Müdahale Eden Bir Grup Üzerinde Gestalt Temas Biçimleri Çerçevesinde Değerlendirilmesi [doctoral thesis]. Ankara, Türkiye: Ankara University Institute of Social Sciences; 2014.

9. Haksal P. The Investigation of Secondary Traumatic Stress Levels Observed in Emergency Service Personnel in Terms of Dissociation Level, Perceived Social Support and Coping Strategies [doctoral thesis]. Ankara, Türkiye: Hacettepe University Institute of Social Sciences; 2007.
10. Oflaz F, Hatipoğlu S, Aydin H. Effectiveness of psychoeducation intervention on post‐traumatic stress disorder and coping styles of earthquake survivors. Journal of Clinical Nursing. 2008;17(5):677-687.
11. Bride BE, Robinson MM, Yegidis B, Figley CR. Development and validation of the secondary traumatic stress scale. Research on Social Work Practice. 2004;14(1):27-35.
12. Yıldırım G, Kıdak LB, Yurdabakan İ. Secondary traumatıc stress scale. Psychiatry. 2018;19(1):45-51.
13. Ortlepp K, Friedman M. Prevalence and correlates of secondary traumatic stress in workplace lay trauma counselors. Journal of Traumatic Stress. 2002;15(3):213-222.
14. Büyükbodur AŞ. Examining of Psychological Resilience and Secondary Traumatic Stress on Social Workers [doctoral thesis]. Ankara, Türkiye: Yıldırım Beyazıt University Institute of Health Sciences; 2018.
15. Bride B, Kintzle S. Secondary traumatic stress, job satisfaction, and occupational commitment in substance abuse counselors. Traumatology. 2011;17(1):22–28.
16. Regehr C, Hemsworth D, Hill J. Individual predictors of posttraumatic distress: A structural equation model. Canadian Journal of Psychiatry. 2001;46(2):74-79.
17. Roy-Byrne P, Smith WR, Goldberg J, Afari N, Buchwald D. Post-traumatic stress disorder among patients with chronic pain and chronic fatigue. Psychological Medicine. 2004;34:363-368.
18. Cornille TA, Meyers TW. Secondary traumatic stress among child protective service workers: prevalence, severity and predictive factors. Traumatology. 1999;5(1):15-31.
19. Karakaya I, Ağaoğlu B, Coskun A, Şişmanlar ŞG, Yıldız Ö. The Symptoms of PTSD, depression and anxiety in adolescent students three and a half years after the Marmara Earthquake. Turkish Journal of Psychiatry. 2004;15(4):257-263.
20. Shah A, Garland E, Katz C. Secondary traumatic stress: Prevalence in humanitarian aid workers in India Siddharth. Traumatology. 2007;13(1):59-70.
21. Devilly GJ, Wright R, Varker T. Vicarious trauma, secondary traumatic stress or simply burnout? Effect of trauma therapy on mental health professionals. Australian and New Zealand Journal of Psychiatry. 2009;43(4):373-85.
22. Bercier ML, Maynard BR. Interventions for secondary traumatic stress with mental health workers: A systematic review. Research on Social Work Practice. 2015;25(1):81-89.
23. Bride B. Prevalence of secondary traumatic stress amongst social workers. Soc Work. 2007;52(1):63–70.
24. Sodeke-Gregson EA, Holttum S, Billings J. Compassion satisfaction, burnout, and secondary traumatic stress in UK therapists who work with adult trauma clients. Eur J Psychotraumatol. 2013;4:1-10.